Laserfiche WebLink
A�PLIC�►T10N � R ���,�n <br /> �nE�'°`"" ��NSTRUCTIOf� e <br /> ever�tt PE�MIT <br /> UEPT OF COMMUNITY DECELOPMENT SERVICES <br /> GTY HALL 259�8745 <br /> EVERETT.WA98101 ��OMBINATION ❑ Bl11LDING Ck.1MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNIN MAII AOCNI'S U1Y ZIF . PMONF <br /> ���� � „ -, r`tia�c �--- � �� � �� �����<<�,. ����v ��pz, wia����o � a�-�-�'b�3 <br /> nRC RlCT OR OESIC`+t0. M�il eDDPl55 <br /> G[MfR�L[O!+1RM10R MAllA0�0.F5S CIIY ZIP PHON[ UCFNSE/ <br /> N[CHAnIUI CON10.ACiOR MAII AOORF55 Cli� LIP VMONF LICEHSE I <br /> VWUPISLCONINAC�00. MnllnpONESS CIIY ZIP PHONE UCFNSE� <br /> CleSS Of KOPR <br /> ❑NEW ❑ADDITION ❑ALTERAT�ON ❑REPAIR ❑DEMOLITION ❑FENCE ❑S�GN ❑GARALE ❑OUILDING REIOGTION <br /> YAlUe110N OI NORR <br /> S <br /> OISCRIB[WORA <br /> ,� , !� - � <br /> reovnvoustpf eunoi�.c � ` � I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> � ,l�;.�, _ „ i` ����. , PLICATION AND KNOW THF SAME TO BE TRUE AND CORRECTALL <br /> �� "�� � � � � � PROV�SIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE <br /> IEG�I OfSCRiP110NOf.^ROi1XiY15MOWN B[lON ON At1ACN IOV0.GOPIE51 OF WORK WILL 8E COMPLtED WITH WHETHER SPECIFIEO HEREIN <br /> l0' �_BLOCN_Of OR NOT. THE GRANTING OF A P£RMIT DOES NOT PRESUME TO <br /> GIVE AUTHOR�TY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER ST�TE OR LOCAL LAW REGULATING CONSTRUCTIOIJ <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE Oi CONiRACTON OR AUTNORILEC AGFNT DATE <br /> IOP�O�A�55 . ,�� �� <br /> \\ \ <br /> .�����]'i �1(�ti� ��liQl����� cl r�0 X � c• . - �. - <br /> PWMBING MECHANICAL� <br /> NO. TYPE OF FIXTURE <br /> FEE NO. TY►E OF EQUI�MENT FEE <br /> WATERClOSETITOLlET1 AIRCON[1 UNITS—HP EA <br /> flATNTU6 HEFHIGERATION UNITS—M P EA <br /> �AVA70RY lWASH CASIN� BOILENS—H P EA <br /> SHOM'FR <br /> GAS RPE�AC UNITS—TONNAGE [A <br /> KIICM2N SINK d DISP fORCED AIR SYSTEMS—B i U M EA <br /> ` \YALI HFATkRS-8 T U M <br /> OISWASHER <br /> LAUNORY TNAY ^ UNIT MUTERS—B i U. M <br /> CLO7ME5 WASHER F��PONATIVE COOLERS <br /> WATER MEATER CLO7HF5 DRYERS <br /> VENIILATION rAN <br /> URINAL <br /> DRINKING FOUNTAIN RANCF MOOD <br /> � fIOOR ORAIN AIR MANDLING U�NIT�— _ C!M <br /> VANUM BftEAKERS STOVE /�-"i� � � � <br /> ROOF ORAINS--�AINLEADERS MFTAL fIRfPLACF 6 CHIMNEV <br /> SINK 6EdVICE—BAR,fTC I <br /> SU�TOTAI !U�TOUI f ' L'U <br /> �FIIMIT f �E�MIT • 3 QJ <br /> iOTAIiEF S TOTALfEF s <br /> SIDt 1'�MD 5[TBACK STRE[T 5[TAACK RUR YARO SITBACK PLAN CMLCK NUh10fR PIAN CMFCK FEE <br /> FfE RECEIPT NO. <br /> USE ZONf l0T AR[A V�UNT SIIE �E�S VAIUATION fEE <br /> ❑Yf5 ❑NO <br /> TYPf OF CONST OCCUPANCV GROUP NO UF DWFLLING UNITS <br /> 9VIl01NC s <br /> SIZE Of 9L�G NO Oi STORIES MA% OCC IAAD — <br /> PWh1BING <br /> FIREZONE BASCMENT fIfOPOUNS pEQU10.EDKLfNS MECHANIGL <br /> ❑VFS ❑NO <br /> w���OVAif 91' DATE OTMFR <br /> 1 ENVIRONMFNUICM[CKLIST pENAITY UBC. <br /> SEC ]O)la) <br /> 2 BUILDINC PlANS <br /> TOTAI <br /> 7 RNF HVONANT <br /> � FIRF PR07[C1iON SYSTEM �FRMIT VALIDATION <br /> WMfN PROPERIY VALIDATfD(IN THIS SPACE)iH1515 YOUR PERMIT <br /> 5 GN�D�NGI%UVATION6ClkARINGILRUBBING <br /> 6 ORAINAL[ <br /> 7. ENVIRONMENTAL IAIPACi SIATLMENT <br /> E HFAITM DIST0.ICT <br /> APPLIUTION ACC BY PlANS CHECKEO 0Y APPR f00. ISSU�NCE BY <br /> 4/! ` ! <br /> 9 1 79 <br />